Clinical Effect Of Sitting Baduanjin On Patients With Acute Coronary Syndrome After PCI

Objective:To observe the clinical effect of sitting Baduanjin on patients with acute coronary syndrome after PCI.In this study,the changes of cardiac function,mental state,exercise tolerance,quality of life,biochemical indexes,angina pectoris grade and TCM syndrome score were observed between the sitting Baduanjin group and the control group.To determine the efficacy of sitting Baduanjin in improving mental state,cardiac function,quality of life,biochemical indexes,angina pectoris classification,exercise tolerance and TCM syndrome score in patients with acute coronary syndrome after PCI.Methods:according to the principle of random distribution,60 patients were randomly divided into two groups: control group(n = 30),sitting Baduanjin group(n = 30)and seated Baduanjin group(n = 30).The exercise prescription of seated Baduanjin was added on the basis of the treatment plan of the control group.The following indexes were observed: mental state(self-rating anxiety scale,self-rating depression scale),cardiac function index(SV,EF),severity of angina pectoris,exercise tolerance(METs value),biochemical index(cTnI,hs-CRP,BNP),Seattle angina pectoris scale,TCM syndrome score and curative effect.Results:1.The baseline data of the two groups(sex,age,course of disease,basic diseases,drug use,incidence,number of stents)were compared,and the results showed that the difference was not statistically significant(P > 0.05).2.The mental state of the two groups was compared: the scores of self-rating anxiety scale((SAS))and self-rating depression scale((SDS))in the two groups were lower than those before treatment,and the decrease in the sitting Baduanjin group was higher than that in the control group(P < 0.05).3.Comparison of exercise tolerance between the two groups after(METs):treatment,the value of METs in the two groups after treatment was higher than that before treatment,and the former in the sitting Baduanjin group was higher than that in the control group(P < 0.05).4.Comparing the quality of life between the two groups: comparing the changes of quality of life between the two groups before and after treatment,it was found that all dimensions of quality of life after treatment were better than those before treatment(P < 0.05).After treatment,the sitting Baduanjin group improved the stability of angina pectoris,the frequency of angina pectoris attack and treatment satisfaction due to the control group(P < 0.05),but in the two dimensions of physical activity limitation and disease awareness,there was no significant improvement(P > 0.05).5.Comparison of TCM syndrome score and curative effect: the total effective rate of the sitting Baduanjin group was significantly better than that of the control group(20.0%,P < 0.05);both groups could improve the TCM syndrome score,and the difference was statistically significant(P < 0.05);but the sitting Baduanjin group was more effective than the control group(P < 0.05).6.Comparison of biochemical indexes between the two groups: cardiac troponin I(cTnI),hypersensitive C-reactive protein(hs-CRP)and brain natriuretic peptide(BNP)decreased after treatment,and the decrease was greater than that before treatment(,(P< 0.05).The indexes of hs-CRP and BNP were affected by the exercise prescription of sitting Baduanjin,which decreased more significantly than that of the control group after treatment,but there was no significant difference in the index of cTnI between the two groups after treatment(P > 0.05).7.Comparison of cardiac function indexes between the two groups: the cardiac function indexes of stroke volume((SV))and ejection fraction((EF))after treatment were higher than those before treatment,and the improvement degree of sitting Baduanjin group was better than that of the control group,indicating that seated Baduanjin can improve the cardiac function of patients after PCI.8.Comparison of angina pectoris grading between the two groups: in terms of CCS angina pectoris grading,angina pectoris grading was decreased in both groups before and after treatment(,(P < 0.05.At the same time,angina pectoris grading in the sitting Baduanjin group was better than that in the control group,indicating that sitting Baduanjin could improve the angina pectoris grade and improve the angina pectoris symptoms in patients with angina pectoris.Conclusion:For patients with acute coronary syndrome after PCI,sitting Baduanjin can improve exercise tolerance,improve mental state,reduce angina pectoris attack times and TCM syndrome score,and significantly improve the quality of life in the three dimensions of angina pectoris stability,angina pectoris attack frequency and treatment satisfaction.However,there is no significant improvement in the two dimensions of physical activity limitation and disease awareness in the short term,which may require long-term persistence to show.2.Exercise of sitting Baduanjin can also significantly improve cardiac pumping function,such as EF,SV,and biochemical indexes of hypersensitive C-reactive protein and brain natriuretic peptide,but has no significant improvement on troponin I.3.Sitting Baduanjin rehabilitation therapy for patients with acute coronary syndrome after PCI is safe and effective.